Evillo M Domingo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-07-4369-D Issued in OH

Practice address

2405 Big Woods Dr
Batavia, IL 60510-7650

Phone

(630) 277-9651

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zeta Visiting Physician LLCGroup PAC ID 7416489943, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reliance Home Health Care, Inc Home health agency, Rolling MDWS, IL, CCN 147991
• Meridian Palliative & Hospice Care Services LLC Hospice, Rolling Meadows, IL, CCN 141691

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zeta Visiting Physician LLC

  • General Practice Physician
  • Batavia, IL
  • NPI 1043042484
  Medicare reassignment Care Compare group NPD
• Zigma Home Physician LLC

  • General Practice Physician
  • Batavia, IL
  • NPI 1396575585
  NPD Authorized official
• Mercy Health - Willard Hospital LLC

  • Cardiovascular Disease Physician
  • Willard, OH
  • NPI 1265605240
  NPD (past)
• Samaritan Emergency Physicians LLP

  • Emergency Medicine Physician
  • Bryan, OH
  • NPI 1699165621
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Meridian Palliative & Hospice Care Services LLC

  • Community Based Hospice Care Agency
  • Rolling Meadows, IL
  • NPI 1982069324
  Care Compare affiliation
• Reliance Home Health Care, Inc.

  • Home Health Agency
  • Rolling Meadows, IL
  • NPI 1588723654
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1770587693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BIG WOODS DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107650",
            "telephone_number": "567-224-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BIG WOODS DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107650",
            "telephone_number": "630-277-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "EVILLO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-07-4369-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083972",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura E Dhom, PT
• Anthony Di Carlo, D.C.
• Michelle Lynn Dietz
• Deanna Digloria
• Julia Dobbs
• Lauryn E Donovan, OTRL
• Dr. Q Medical Supply LLC
• Dreyer Clinic, Inc
• Jennifer A. Dubose, M.S., C.A.S., LMFT
• Dan Duggan, RPH

• Family Medicine Physician in Batavia, IL
• Providers in Batavia, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.